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NPI 1013602135

OrganizationActive

Black Beaver Medical Supply LLC

NPI 1013602135 · Durable Medical Equipment & Medical Supplies · Anadarko, OK

Provider details

NPI number: 1013602135
Entity type: Organization
Primary specialty: Durable Medical Equipment & Medical SuppliesSuppliers
Authorized official: Justin Ayres, Billing Manager

Practice location

123 E Broadway St

Anadarko, OK 73005-2823

Phone: (405) 923-1993

More OK providers

Mailing address

123 E Broadway St

Anadarko, OK 73005-2823

Registry dates

Enumerated: 2023-04-05
Last updated: 2023-04-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Black Beaver Medical Supply LLC — NPI 1013602135, Anadarko, OK | NPI Central